CNA Practice Exam Quiz 3 Of 5

After Mrs. Small's death, her husband is likely experiencing grief and may need emotional support. As a nurse aide, it is important to provide compassionate care and empathy to patients and their families. By listening and trying to comfort him, the nurse aide can offer solace and help him process his emotions during this difficult time. Changing the subject, telling him to go to a counselor, or telling him to keep his feelings to himself would not be appropriate responses and may further isolate him in his grief.

In this scenario, Mrs. Small's vital signs are decreasing and her respiration is zero, indicating a critical situation. Continuing with her normal care would not be appropriate as immediate action is required. Waiting five minutes and taking her vital signs again would waste precious time and delay necessary intervention. Telling the family that she is dead without consulting a healthcare professional would be unprofessional and potentially distressing for the family. Contacting the charge nurse immediately is the most appropriate action as they can provide guidance and mobilize the necessary resources to address the situation.

The set of vital signs that should be reported immediately is T-102.4, P-100, R-32, BP-180/100. This is because the temperature is significantly elevated, the pulse rate is elevated, the respiratory rate is elevated, and the blood pressure is high. These abnormal vital signs may indicate a serious medical condition or an emergency situation that requires immediate attention and medical intervention.

A common sign of approaching death is decreased body functions. As a person nears the end of their life, their body may start to shut down and certain bodily functions may decrease. This can include decreased appetite, decreased energy levels, decreased ability to move or perform daily activities, and decreased organ function. These changes are often indicators that the body is preparing for the end of life.

The term abduction refers to the movement of a body part away from the center or middle line. This means that the body part is being moved outward or away from the midline of the body. It is the opposite of adduction, which refers to bringing a body part towards the center or middle line.

Rectal temperature measurement is considered the most accurate method because it provides a direct measurement of the core body temperature. The rectum is close to the internal organs and is less affected by external factors such as ambient temperature or oral intake. This method is commonly used in medical settings, especially for infants and young children, as it provides a reliable and precise measurement of body temperature.

After surgery, it is important to closely monitor a patient's fluid intake and output to ensure proper hydration and to detect any potential complications. By recording all fluid intake and output every shift, the nurse aide can accurately track the amount of fluids the patient is consuming and eliminating. This information is crucial for the healthcare team to assess the patient's fluid balance and make any necessary adjustments to their treatment plan. Keeping the patient NPO (nothing by mouth) may be necessary in some cases, but it is not the appropriate action in this situation. Recording solid food intake and measuring only the first voiding after surgery are not comprehensive enough to monitor the patient's overall fluid status.

The nurse aide selects the transfer belt to assist Mr. Perez in walking safely because it is a device that can provide support and stability. It can be securely fastened around Mr. Perez's waist, allowing the nurse aide to hold onto the belt and provide assistance while he walks. This helps to prevent falls and provides Mr. Perez with the necessary support he needs due to his weakness and lack of coordination from the previous stroke.

If the pitcher is full at the beginning of the shift and holds 600 cc of water, and then it becomes empty halfway through the shift and is refilled, it means that 600 cc of water has been consumed. At the end of the shift, the pitcher is one-half full, which means it contains 300 cc of water. Therefore, the total water intake for the shift is 600 cc + 300 cc = 900 cc.

The nurse aid must report the fact that the client has not voided in eight hours. This could indicate a potential urinary problem or obstruction that needs to be addressed by medical professionals. It is important for the nurse aid to communicate this information to ensure the client's health and well-being are properly monitored and addressed.

The client's output record would include urine, emesis (vomiting), and bleeding. These are all bodily fluids that need to be monitored and recorded for medical purposes. Liquids taken in during the shift and bowel movements are not considered output and would not be included in the client's output record.

Paraplegia is a condition characterized by the paralysis of the legs or lower part of the body. This means that individuals with paraplegia have a loss of motor function and sensation in their lower limbs, resulting in an inability to move or feel sensations below the waist. It does not affect the arms or upper part of the body, or the left half of the body.

The patient drank one-third of the large glass, which means they consumed 1/3 of 240 cc. To find out how much they drank, we can calculate 1/3 of 240 cc. One-third of 240 cc is equal to 80 cc. Therefore, the nurse aide would record this as 80 cc.

The term "up ad lib" means that the client is independent and can engage in activities and rest as they choose, without any restrictions or limitations. They have the freedom to determine their own schedule and balance periods of rest and activity according to their needs and preferences.

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Inactivity and immobility can lead to various complications, such as skin breakdown, permanent contractures, and secretions remaining in the lungs. However, increased intestinal peristalsis is not typically associated with inactivity and immobility. In fact, reduced physical activity often leads to decreased intestinal motility and can result in constipation.

Saying that a coworker took a client's money when this is UNTRUE is an example of negligence. Negligence refers to the failure to take reasonable care or fulfill one's duty, resulting in harm or damage to another person. In this case, spreading false information about a coworker's actions without proper evidence or investigation shows a lack of care and responsibility, which can lead to negative consequences for the coworker and the client. The term "harding" is not a recognized term or concept related to the given scenario.